LIVING_WAGE_CERTIFICATION.pdf
PDF 227 KB Posted
- Attached to
- TOWN FIREWORKS DISPLAY
- Solicitation number
- 25/26-44
- Issued by
- Hartford County, Connecticut
About this file
This is a Living Wage Certification Form issued by the Town of Manchester, Connecticut, required for vendors responding to the Town Fireworks Display Request for Proposal. Bidders must complete and submit this form with their proposal to indicate their status as either a covered employer subject to Manchester's Living Wage Ordinance or an exempt entity. The form requires bidders to certify under penalty of perjury that the representations made regarding their wage obligations are true and correct, and failure to complete and return the form may result in bid rejection.
Covered employers—defined as those with more than 25 eligible employees and contract values exceeding $25,000 annually—must pay the established living wage of $17.78 per hour for employees with comprehensive health benefits or $26.07 per hour without such benefits. Exemptions from the living wage requirement are available for employers with fewer than 25 eligible employees, contracts valued below $25,000, or qualifying charitable foundations, trusts, and nonprofit agencies exempt from federal income taxation under Internal Revenue Code Section 501. For the fireworks display procurement with a budgeted contract value of $32,000 per year, most vendors will likely qualify as covered employers and must commit to living wage compliance during the contract term spanning 2027 and 2028.
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Text version
TOWN OF MANCHESTER
LIVING WAGE CERTIFICATION FORM
The Town of Manchester has determined that this contract may be subject to the provisions of the
Manchester Living Wage Ordinance, Chapter 212 of the Manchester Code of Ordinances, Sections 212-1 through 212-11.
Bidders are required to indicate whether they are a Covered Employer as defined by the Manchester
Living Wage Ordinance or are exempt from the requirements by marking the appropriate section below.
*****Failure to complete and return this form may result in the rejection of your Bid/RFP.*****
I/We are a covered employer and shall pay the required living wage to eligible employees and comply with the requirements of the ordinance during the term of the contract.
OR
I/We are not a Covered Employer and therefore not subject to Manchester’s Living Wage
Ordinance for the reason(s) indicated below.
Please indicate the reason, if you are not a covered employer, by checking the box or boxes that apply directly below.
Bidder employs less than twenty-five (25) eligible employees.
Annual contract value is less than $25,000.
Charitable foundations, charitable trusts or nonprofit agencies or nonprofit corporations, provided that the foundation, trust or nonprofit agency or corporation is exempt from federal income taxation and may accept charitable contributions under Section 501 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as from time to time amended.
I, __________________________________________ am the Officer, Owner, Authorized Representative of ______________________________________________________________, the company named in the Bid or RFP, and do hereby certify that the representations made above are true and correct for
Bid/RFP Number________________ Bid/RFP Name ___________________________________________
Signature Print Name
Date
Please return with your Bid or RFP submission.
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